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Do you smoke? Yes/No If Yes … What do you smoke? Cigarettes | cigar | eCigs | pipe How much? ….. cigs per day When did you start? Dd/mm/yyyy What triggers you to start smoking? Did you stop after you discovered you were pregnant? Y/N Did you stop after you were scheduled for surgery? Y/N Do you use any other forms of tobacco?

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Substance use pattern

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Tobacco Use Summary

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Detailed Tobacco Use (Diary)

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Questionnaires are nasty...

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Questionnaires  What is a Questionnaire? – “Did the patient have chest pain?”  Where are they found? – Data entry forms e.g. Emergency admission with chest pain Structured, efficient layout on screen, paper Act as a protocol – Reporting Quality indicators Public health statistics  Why are these so hard to model?

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Questionnaire - example

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FHIR Questionnaire “There is considerable overlap between the information covered by Questionnaires and other Resources (especially FamilyHistory, MedicationStatement, Observation, Procedure, etc.): Questionnaire's flexible structure can easily be misused to capture any data, even data that should be captured as separate Resources.” e.html

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Open-> Closed questioning? Tell me about your hair? “Hair is blonde” What colour is your hair? “Blonde” What colour is your hair? Blonde|Brown|Black Are you a blonde? Y/N

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Open->Closed Increasing constraint on the problem space Moves semantics from the Answer (value) to the Question (name)

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More Questions than answers Do we pay enough attention to the semantics of questionnaires or is this ‘just a UI issue’? Can we assert h/o Diabetes = Yes – equivalent to Past History of diabetes ? Can we develop a framework of Questionnaire use to guide developers on the ‘Resource’ vs. questionnaire issue?